Technical Field
[0001] The present invention relates to a coil, and to a magnetic stimulation device that
uses this coil.
Background Art
[0002] Transcranial Magnetic Stimulation (TMS) is a method of causing current flow within
the brain by electromagnetic induction, and stimulating neurons. According to this
method, as shown in Fig. 1 to Fig. 3, by applying an alternating current or a given
current waveform to a stimulation coil that has been placed above a person's scalp,
a variable magnetic field is generated, and the effect of that variable magnetic field
is to induce, within the brain, eddy current in a reverse direction to coil current,
and nerve impulses is generated as a result of stimulation of neurons by this eddy
current. This type of Transcranial Magnetic Stimulation is being used in clinical
laboratory tests and cerebral function research, including measurement of nerve conduction
velocity.
[0003] In recent years, magnetic stimulation has been gathering attention as a therapeutic
application for neuropathic pain, Parkinson's disease, depression, etc. With these
types of illness, there are cases where results are not witnessed with treatment using
medicines. For example, for intractable neuropathic pain there is a method of treatment
where electrical stimulation is given to the brain by implanting electrodes in the
brain. However, this method of treatment requires a craniotomy, and so many patients
are unwilling to have it performed.
[0004] Repetitive transcranial magnetic stimulation, where noninvasive magnetic stimulation,
that does not require surgery, is repeatedly carried out, is therefore being researched
as a method of treatment. With medical treatment for intractable neuropathic pain,
it is being reported that pain relief effects have been attained at about one day
after having carried out magnetic stimulation on the cerebral primary motor cortex.
[0005] However, a conventional magnetic stimulation device has a weight of about 70 kg,
and at the time of installation electrical work is necessary in order to be able to
supply electrical power from a 200 V power supply, which means that the device can
only be used in well equipped medical facilities. Also, at the time of actual treatment,
since it is necessary to determine stimulation position while referencing patient
MRI data in accordance with the disorder to be treated, medical treatment by a medical
worker who is experienced with that situation is necessary. With the treatment of
intractable neuropathic pain, it is necessary to carry out positioning of a coil on
the primary motor cortex, which constitutes the target, in units of 1 mm.
[0006] With transcranial magnetic stimulation therapy, as a stimulation coil for magnetic
stimulation, currently various forms have been proposed, including a circular coil
and a figure 8 coil (a coil that is wound more or less in the shape of the number
"8"), and further a quatrefoil coil, a Hesed coil, and a coil having multiple small
circular coils arranged on the surface of a head section, and currently the circular
coil and figure 8 coil are mainly being utilized.
[0007] A figure 8 coil (refer to patent publication 1 and patent publication 2 below) has
two circular coils, formed in series using a single conductor, arranged partially
overlapping, and by having electrical current flow in opposite directions in these
circular coils it is possible to cause eddy currents to converge directly beneath
a section where the coils cross, and stimulate a local region.
[0008] On the other hand, depending on the object of treatment or on the personal symptoms
of the patient, there may be cases where instead of localized stimulation, stimulation
over a wider range is effective.
[0009] Also, with a coil that focuses stimulation locally there is a need to accurately
determine position on the target region, and in this case it is necessary to implement
accurate positioning using a navigation system or the like.
[0010] As well as carrying out development of magnetic stimulation used in home treatment,
there has also been advancement in development of navigation systems for determining
stimulation position by a non-medical worker. According to the system, first a patient
is fitted at the hospital with glasses having a magnetic sensor, and calibration is
carried out using a permanent magnet in order to attach the glasses at the same position
every time. Next, a doctor specifies optimum stimulation position using a procedure
that combines a patient MRI image and an optical tracking coordinate system, and the
optimum stimulation position, and data for random positions in a range of 5 cm around
the optimum stimulation position, are stored. By storing surrounding position data,
it is possible to for the patient to visually know where a coil currently is when
determining coil position.
[0011] At the time of home treatment, first calibration of the glasses is carried out. After
that, three-dimensional position is measured by comparing position of permanent magnets
that are fitted to the stimulation coil with data. By visually confirming current
position of the coil and optimum stimulation position, it is possible to instinctively
carry out positioning of the coil.
[0012] By experimentation it is found that navigation error of this navigation system is
a maximum of, for example, 5 mm from the optimum stimulation position, while on the
other hand if the figure 8 coil that was described previously has an irradiation position
(optimum stimulation position) within this 5 mm, it is possible to provide therapeutically
effective stimulation of the target region. This means that at a stimulation position
that has been guided by using a navigation system, if a treatment device that carries
out magnetic stimulation with a figure-8 coil is used, there is a possibility that
a region that is to be radiated (optimum stimulation position) will not be within
the effective stimulation range of the treatment coil, and so it will be difficult
to accurately carry out stimulation to the treatment region. Accordingly, it is necessary
to develop a coil that is capable of generating eddy current uniformly over a wider
range, such that in a case where there is a region to be radiated within, for example,
10 mm, a target region can be stimulated in a therapeutically effective manner.
[0013] Therefore, in order to implement a stimulation coil having high robustness (specifically,
being capable of generating uniform eddy current over a wider range), a dome type
coil device (in the specification below, referred to as "dome type coil") has been
proposed by the present inventors (refer to patent publication 3 below) . This dome
type coil can cause eddy current to be generated over a wide range compared to the
figure 8 coil, and there is also the desirable property of being able to reduce inductance
while maintaining inducement of eddy current over a wide range.
[0014] However, while the dome type coil shown in patent publication 3 below can generate
an induced electrical field over a wide range compared to the figure-8 coil, as already
stated, there is a problem in that electrical field intensity is low in a case where
the same electrical current as with the figure-8 coil has been applied (approximately
1/4 under the same current application conditions).
[0015] In a case where induced electrical field is small, more electrical current must be
applied in order to compensate for this, which means that not only is there a possibility
of device cost and installation cost being increased due to boost circuits and capacitors
being increased in size, there was also a problem in that that coil itself heats up
rapidly and it is necessary to take measures to deal with this.
[0016] Accordingly, the present inventors have carried out various experiments regarding
coil shape and design parameters, and as a result have acquired knowledge regarding
shapes that have the advantage of being able to provide the same wide induced electrical
field as a dome type coil while being able to generate a stronger induced electrical
field with approximately the same applied current, and that can comprises a coil that
does not obtain a value of inductance that has deviated.
Prior Art Publications
Patent Publications
[0017]
Patent Publication 1: Japanese patent laid-open No. 2012-125546
Patent publication 2: International Patent publication No. 2010/147064
Patent publication 3: International Patent publication No. 2015/122506 (for example, Fig. 6)
Summary of the Invention
Technical Problem
[0018] The present invention has been conceived based on the previously described knowledge.
The main object of the present invention is to provide a coil that can give the same
wide induced electrical field as a dome type coil, and that can generate a strong
induced electrical field with the same applied current as for a dome type coil, and
that can further keep inductance to a small value.
Solution to the Problem
[0019] Means for solving the above described problem can be described as in the following
aspects.
(Aspect 1)
[0020] A coil, arranged close to a surface of an object, for causing an induced electrical
field to be generated inside the object, wherein
the coil has 1st to Nth turns,
the 1st to the Nth turns are respectively provided with an actuation part for flow
of electrical current in one direction and a connection part for flow of electrical
current in a direction opposite to the one direction,
the actuation parts of the 1st to Nth turns are arranged parallel to each other, and
along a surface of the object or along a surface that is close to the surface of the
object,
the connection parts are arranged within a space in which the connection parts do
not face the surface of the object over the actuation parts of the 1st to Nth turns,
and the connection parts are positioned at the sides with respect to the extending
direction of the actuation parts, and
N is an integer of 2 or greater.
(Aspect 2)
[0021] The coil of aspect 1, wherein the connection parts of 1st to Pth turns, within the
1st to Nth turns, are arranged over the actuation parts at positions on the opposite
side to the connection parts of P+1th to Nth turns.
(Aspect 3)
[0022] The coil of aspect 1 or aspect 3, wherein the connection parts are formed in a substantially
arcuate shape.
(Aspect 4)
[0023] The coil of any one of aspect 1 to aspect 3, wherein the surface on which the actuation
parts are arranged is formed having a substantially arcuate cross section.
(Aspect 5)
[0024] The coil of any one of aspect 1 to aspect 4, wherein the actuation parts of the 1st
to Nth turns are arranged at equal intervals.
(Aspect 6)
[0025] The coil of any one of aspect 1 to aspect 5, wherein the object is a living body.
(Aspect 7)
[0026] The coil of any one of aspect 1 to aspect 5, wherein the object is the head of an
animal, and
the coil is configured to produce induced current within the brain of the head as
a result of the induced electrical field.
(Aspect 8)
[0027] The coil of any one of aspect 1 to aspect 7, further provided with a core member,
and wherein
the core member is configured to reduce magnetic resistance of a magnetic circuit
that is generated by the 1st to Nth turns, and
the core member is arranged at opposite side to the object, over the actuation parts.
(Aspect 9)
[0028] The coil of aspect 8, wherein the core member has a plurality of regions of differing
relative permeability.
(Aspect 10)
[0029] The coil of aspect 8 or aspect 9, wherein the core member is provided with first
parts that are arranged at positions that face the actuation parts, and second parts
that are arranged at positions facing the connection parts,
the first parts are provided with a plurality of elongated first core bodies that
extend in a direction that is not parallel to the extension direction of the actuation
parts, and
the second parts are provided with a plurality of elongated second core bodies that
extend in a direction that is substantially parallel to the extension direction of
the actuation parts.
(Aspect 11)
[0030] A magnetic stimulation device comprising the coil of any one of aspect 1 to aspect
10, and a power supply section for supplying a given electrical current to the coil.
(Aspect 12)
[0031] A coil, arranged close to a surface of an object, for causing an induced electrical
field to be generated inside the object, wherein
a series of conductors of the coil, running from an input terminal to an output terminal,
are made up of
- (1) a plurality of actuation conductors used in the induced electrical field generations,
and
- (2) connection conductors that connect the plurality of actuation conductors together,
and that are configured in a form whereby effect on intensity of an induced electrical
field that has been generated by the actuation conductors can be substantially ignored.
(Aspect 13)
[0032] A magnetic stimulation device comprising a coil, arranged close to a surface of an
object, for causing an induced electrical field to be generated inside the object,
and a support, wherein
the coil has 1st to Nth turns,
the 1st to Nth turns are respectively provided with an actuation part for flow of
electrical current in one direction and a connection part for flow of electrical current
in a direction opposite to the one direction,
the actuation parts of the 1st to Nth turns are arranged substantially parallel to
each other,
the connection parts are arranged within spaces, laterally with respect to the extension
direction of the actuation parts,
the actuation parts are supported by the support,
a lower surface of the support is formed in a substantially flat shape, and
N is an integer of 2 or greater.
(Aspect 14)
[0033] A magnetic stimulation device of aspect 13, wherein the surface of the object is
a substantially spherical shape, and a lower surface of the support is therefore configured
to contact a surface of the object substantially at the center of the support.
Advantageous Effect
[0034] According to the present invention it is possible to provide a coil with which efficiency
of generating an induced electrical field with respect to applied current is high
even if design of area of an actuation part is widened so as to obtain a comparatively
wide induced electrical field, and that can also keep inductance to a low value.
[0035] Also, according to the present invention, since change rate of magnetic flux density
at a stimulation point with respect to change in distance from a coil surface to the
stimulation point is configured to be less than a given value, it is possible to reduce
unpleasantness that is attributable to stimulating close to the scalp as well, at
the time of treatment where an irradiation target within the brain is subjected to
magnetic stimulation.
Brief Description of the Drawings
[0036]
Fig. 1 is an explanatory drawing for describing a usage method of a conventional magnetic
stimulation device.
Fig. 2 is an explanatory drawing showing a relationship between a magnetic field generated
by a coil used in a conventional magnetic stimulation device and induced current occurring
at the surface of the brain.
Fig. 3 is an explanatory drawing for describing a usage method of a conventional magnetic
stimulation device.
Fig. 4 is a schematic explanatory drawing for describing the structure of a magnetic
stimulation device of one embodiment of the present invention.
Fig. 5 is a perspective drawing, with an application part used in the device of Fig.
4 enlarged.
Fig. 6 is a cross-sectional drawing along line A-A in Fig. 5, and shows the application
part in a state of being placed on an upper surface of an object (head).
Fig. 7 is a plan view for describing an arrangement state of a coil used in the application
part of Fig. 6.
Fig. 8 is an explanatory drawing for describing flow direction of electrical current
in the coil.
Fig. 9 is a perspective drawing of a support used in the application part of Fig.
6.
Fig. 10 is a cross sectional view of the support, for a position corresponding to
Fig. 6.
Fig. 11 is an explanatory drawing for describing conditions for simulation using a
coil of this embodiment.
Fig. 12 is a graph showing results of simulation, with the horizontal axis showing
inner diameter a, and the vertical axis showing induced electrical field intensity
and inductance.
Fig. 13 is a graph showing results of simulation, with the horizontal axis showing
number of turns N and the vertical axis showing induced electrical field intensity
and inductance.
Fig. 14 is an explanatory drawing of the results from simulation, and is an explanatory
drawing for describing spread of an electric field generated by the coil of this embodiment.
Fig. 15 is a graph in which various conventional coils are compared with the coil
of this embodiment, with the horizontal axis being measurement position (rotational
angle about the coil center) and the vertical axis being induced electrical field
intensity.
Fig. 16 is a graph that compares various conventional coils with the coil of this
embodiment, with the horizontal axis being measurement position (distance from coil
in the object direction (lower surface direction)) and the vertical axis being magnetic
flux density.
Fig. 17 is an explanatory drawing for describing a modified example of this embodiment,
and is essentially a cross sectional drawing with only a core member shown in cross
section, in a state where the core member is placed on the coil surface.
Fig. 18 is a graph showing setting examples of relative permeability of silicon steel
sheets used in the core member, with the horizontal axis being magnetic field strength
and the vertical axis being magnetic flux density.
Fig. 19 is an explanatory drawing showing appearance of an induced electrical field
obtained by simulation using the core member.
Fig. 20 is a graph for describing characteristics of a coil using the core member,
with the horizontal axis being measurement position (rotational angle about the coil
center) and the vertical axis being induced electrical field intensity.
Fig. 21 is a graph that compares, using measurement, various conventional coils with
the coil of this embodiment, with the horizontal axis being measurement position (distance
from coil in the object direction (lower surface direction)) and the vertical axis
being magnetic flux density.
Fig. 22 is a graph showing a current waveform of a coil, using measurement, with the
horizontal axis being time (µs) and the vertical axis being current value.
Fig. 23 is a graph showing instantaneous magnetic field of a coil, using measurement,
with the horizontal axis being time (µs) and the vertical axis being instantaneous
magnetic field.
Fig. 24 is a graph that compares a conventional figure 8 coil with the coil of this
embodiment, with the horizontal axis being measurement position (distance from coil
in the object direction (lower surface direction)) and the vertical axis being magnetic
flux density.
Fig. 25 is a schematic perspective view of an application part used in a magnetic
stimulation device of a second embodiment of the present invention.
Fig. 26 is a horizontal cross sectional drawing taken along line X-X' in Fig. 25.
Fig. 27 is a vertical cross sectional drawing taken along line Y-Y' in Fig. 25.
Fig. 28 is an explanatory drawing showing a modified example of the application part
shown in Fig. 25, and is a cross sectional drawing at a position corresponding to
Fig. 27.
Fig. 29 is a schematic perspective view of an application part used in a magnetic
stimulation device of a third embodiment of the present invention.
Fig. 30 is a horizontal cross sectional drawing taken along line X-X' in Fig. 29.
Fig. 31 is a vertical cross sectional drawing taken along line Y-Y' in Fig. 29.
Fig. 32 is an explanatory drawing showing a modified example of the application part
shown in Fig. 29, and is a cross sectional drawing at a position corresponding to
Fig. 31.
Fig. 33 is a schematic perspective view of an application part used in a magnetic
stimulation device of a fourth embodiment of the present invention.
Fig. 34 is a horizontal cross sectional drawing taken along line X-X' in Fig. 33.
Fig. 35 is a vertical cross sectional drawing taken along line Y-Y' in Fig. 33.
Fig. 36 is an explanatory drawing of results using simulation, and is an explanatory
drawing showing electrical field intensity, generated by a coil of practical example
3, that has been normalized.
Fig. 37 is an explanatory drawing of results using simulation, and is an explanatory
drawing showing electrical field intensity generated by a coil of practical example
1 that has been normalized, for the purpose of comparison with Fig. 36.
Fig. 38 is an explanatory drawing of results using simulation, and is an explanatory
drawing showing electrical field intensity generated by a conventional figure 8 coil
that has been normalized, for the purpose of comparison with Fig. 36.
Fig. 39 is a graph for comparing a coil of practical example 3 (flat-d), a coil of
practical example 1 (Double D) and a conventional figure 8 coil (Figure 8), with the
horizontal axis being measurement position (displacement from the coil center) and
the vertical axis being induced electrical field intensity.
Fig. 40 is a graph for comparing a coil of practical example 3 (flat-d), a coil of
practical example 1 (Double-D) and a conventional figure 8 coil (Figure 8), with the
horizontal axis being measurement position (distance from the coil in the object direction
(lower surface direction)) and the vertical axis being magnetic flux density.
Description of the Embodiments
[0037] A magnetic stimulation device of one embodiment of the present invention will be
described in the following with reference to the attached drawings. The magnetic stimulation
device of this embodiment is a device for carrying out transcranial magnetic stimulation,
which is a method of imparting stimulation to the brain using induced current generated
using a variable magnetic field.
(Structure of the Magnetic Stimulation Device)
[0038] The magnetic stimulation device of this embodiment (refer to Fig. 4) comprises a
power supply section 10, cable 20 and application part 30. This magnetic stimulation
device generates an induced current within an object 1. Here, with this embodiment,
a living body, in particular the head of a person, is used as the object 1. In the
following, therefore, head 1 may be used instead of object 1.
(Power Supply Section)
[0039] The power supply section 10 is configured to cause a given induced current to be
generated within the object 1, by supplying a given current to a coil 31 (described
later) of the application part 30. Current supplied from the power supply section
10 may have a direct current component provided it has an alternating current component
that can generate induced current. Accordingly, as electrical current it is possible
to use various waveforms according to use, such as a monophasic pulse form or a biphasic
pulse form. A pulse generation period is set appropriately in accordance with usage.
Since it is possible to use a similar power supply as in the related art (refer, for
example, to previously described patent publication 3) as this type of power supply
section 10, more detailed description has been omitted.
(Cable)
[0040] The cable 20 is configured to supply a given current from the power supply section
10 to the coil 31 (described later) of the application part 30. The cable 20 has a
certain degree of flexibility, so that the application part 30 can be arranged at
a suitable position on the head 1 of a subject. It is also possible to use a similar
cable to that in the related art for the cable 20, and so more detailed description
has been omitted.
(Application Part)
[0041] The application part 30 (refer to Fig. 5) is provided with the previously described
coil 31 and a support 32 that supports this coil 31.
(Coil)
[0042] The coil 31 (refer to Fig. 6 to Fig. 8) is arranged close to the surface of the object
(namely the head of the subject) 1, and is configured to generate an induced electrical
field within the object 1.
[0043] The coil 31 of this embodiment has 1st to Nth turns 311 to 31N. Here N is an integer
of 2 or more, preferably 3 or more, the induced electrical field becomes stronger
with the number of turns, and it becomes easy to widen a target region. On the other
hand, if appropriate inductance is taken into consideration, the number of turns is
appropriately 20 or less, more preferably 14 or less. With the illustrated example,
the number of turns N=14.
[0044] The 1st to Nth turns 311 to 31N of the coil 31 are respectively provided with actuation
parts 311a for current in one direction to flow, and connection parts 311b for current
in the opposite direction to the one direction to flow. Here, the actuation parts
are provided for each turn, but with this specification the same reference numeral
311a is assigned for each actuation part. The same applies for the connection parts
311b. Also, "current in the opposite direction" described previously is not a direction
along a conducting wire direction, but means opposite to an orientation within spaces
in which the coil is arranged. Specifically, it does not mean electrical current -i
in a direction that is opposite to current i that flows in the coil. In Fig. 7 and
Fig. 8 flow directions of electrical current in the coil are shown by arrows.
[0045] By supporting the coil 31 of this embodiment with the support 32, spatial arrangement
state of the coil is regulated (refer to Fig. 5 and Fig. 6). Specifically, the plurality
of actuation parts 311a of the 1st to Nth turns 311 to 31N are arranged substantially
parallel to each other, and are arranged along a surface of the object 1 or a surface
that approximates to the surface of the object 1. More specifically, since the head
of a person can be approximated to substantially a spherical surface, the actuation
parts 311a are arranged so as to run along a spherical surface (in more detail, part
of a spherical surface) . With this embodiment, a surface on which the actuation parts
311a are arranged (specifically, an upper surface of a contact section 321 of the
support 32, which will be described later) is made a substantially spherical surface.
[0046] Further, with this embodiment, actuation parts 311a of the 1st to Nth turns are arranged
at equal intervals.
[0047] Also, a plurality of connection parts 311b of the 1st to Nth turns 311 to 31N are
arranged within the space in which the connection parts do not face the surface of
the object 1 over the actuation parts 311a of the 1st to Nth turns, and the connection
parts 311b are positioned at the sides with respect to the extension direction of
the actuation parts 311a (refer to Fig. 6). More specifically, the connection parts
311b are arranged periodically in a direction that is substantially orthogonal to
the extension direction of the actuation parts 311a (vertical direction in the drawing
of Fig. 7)
[0048] Also, with this embodiment, the connection parts 311b of 1st to Pth turns, among
the 1st to Nth turns, are arranged at an opposite side to connection parts 311b of
P+1th to Nth turns, over the actuation parts 311a (refer to Fig. 7). With the example
of Fig. 6 N=14 and P=7, but these numbers are not limiting, and can be changed in
accordance with various setting conditions.
[0049] The connection parts 311b formed so as to be substantially arcuate in planar view
(refer to Fig. 7). Also, connection parts 311b arranged in a divided manner to the
left and right of the actuation parts 311a are left right symmetrical either side
of the actuation parts 311a. Further, connection parts 311b of one side of the actuation
parts 311a are substantially concentric. It should be noted that the number of connection
parts 311b on the left and right sides may be different. Specifically, the shape of
the coil 31 need not be left right symmetrical, and maybe asymmetrical. For example,
a structure where the number of turns N=14, and P=8, is also possible. Obviously these
numerical values are merely one example, and these numerical values are not restricted.
[0050] In other words, the coil of this practical example is a coil that is arranged close
to a surface of an object for generating an induced electrical field within the object,
and a series of conducting wires possessed by the coil, that run from an input end
to an output end, comprise:
- (1) a plurality of actuation conductors used in induced electrical field generation,
and
- (2) connection conductors that connect the plurality of actuation conductors together,
and that are configured in a form whereby effect on intensity of an induced electrical
field that has generated by the actuation conductors can be substantially ignored.
(Support)
[0051] The support 32 is provided with a contact section 321 that is capable of contacting
a surface of the object 1, and a flange section 322 that is formed on an outer peripheral
edge of the contact section 321.
[0052] The contact section 321 is formed either in a substantially plate shape that has
been curved so as to form part of a spherical surface (namely in a spherical surface
shape), or substantially disk-shaped, and as a result it is possible for part of a
head 1, as an object, to be accommodated by a lower surface of the contact section
321 (refer to Fig. 6).
[0053] Grooves 321a for accommodating the actuation parts 311a of the coil 31 and carrying
out alignment of these actuation parts 311a are formed on the upper surface of the
contact section 321 (refer to Fig. 6 and Fig. 10). With this embodiment, the grooves
321a are formed along an upper surface of the contact section 321, substantially parallel
to each other and at equal intervals, similarly to the actuation parts 311a (refer
to Fig. 9).
[0054] The flange section 322 is formed extending in an outward direction, from the outer
peripheral edge of the contact section 321 (refer to Fig. 9). The flange section 322
of this embodiment is formed in a shape overall that has a substantially flat plate-shape
in cross section, and as a result of this it becomes possible to slightly separate
the flange section 322 from the substantially spherical surface-shaped object (refer
to Fig. 6) . Grooves 322a for accommodating the connection parts 311b of the coil
31 and carrying out alignment of these connection parts 311b are formed on the upper
surface of the flange section 322 (refer to Fig. 6 and Fig. 10). With this embodiment,
the grooves 322a are formed extending along an upper surface of the flange section
322 so as to form concentric circles (or so as to form parallel curves), similarly
to with the connection parts 311b (refer to Fig. 9).
(Practical Example 1 - Design Condition Optimization)
[0055] Next, design conditions for a coil 31 that is used in this embodiment described previously
will be considered, using simulation.
[0056] In the evaluation below, as well as assuming that that area of the coil 31 of this
embodiment (in the following specification it will be referred to as a "double-D coil")
that contacts a head 1 (specifically, area that contacts the head by means of the
contact section 321 of the support 32) is fixed, minimum interval a (refer to Fig.
11) between the actuation parts 311a and the connection parts 311b, and number of
turns N of the coil, will be varied, and what effect these design parameters have
on the induced electrical field generated by the coil will be made clear. In addition,
once design parameters of a Double-D coil of particularly high practicability (having
an inductance that is capable of connection to current drive circuitry, and achieving
induced electrical field generation efficiency that is comparable to that of a conventional
figure-8 coil) have been determined, comparison with an already known coil will be
carried out and effectiveness of the designed coil confirmed.
(Simulation Conditions)
[0057] Shape optimization of a Double-D coil is carried out. It should be noted that numerical
values for design shown in the following are merely one example, and the scope of
the present invention is not to be limited by these values.
[0058] First, a radius of curvature of a surface (spherical surface) on which the actuation
parts 311a are arranged is made 100 mm, overall width (width in the arrangement direction)
of the actuation parts 311a is made 78 mm, and radius of a cover range by bottom surfaces
of all the actuation parts 311a (namely half of the maximum length of the actuation
parts 311a) is made 56 mm. The previously described minimum interval a is made variable,
and this was varied from 14 mm to 38 mm (refer to Fig. 11). Also, overall number of
windings N of the coil 31 is varied from 14 to 20 with cover area of the head by the
conducting wires of the coil 31 fixed (refer to Fig. 11). It should be noted that
in Fig. 11 the coil has been described in a simplified manner ignoring the spiral
winding structure. The cross sectional shape of the coil conducting wires is assumed
to have a width of 2 mm and a height of 6 mm.
[0059] In the simulation, a coil 31 was positioned 1 cm directly above a conducting hemisphere
of 75 mm radius, and induced electrical field when pulse current of a maximum current
of 5.3 kA and a pulse frequency of 3.4 kHz was applied was obtained by calculation.
Electrical field intensity was evaluated using average values within a sphere of 10
mm radius from a stimulation center (center portion of the surface of an object that
is made the target, for example, specific position within the motor area of the brain).
With maximum intensity of induced electrical field generated by applied current as
a reference, spread of the electric field was evaluated using total area of voxels
in which an electric field of 50% or more of this maximum intensity was generated.
In the calculation, a Scalar Potential Finite-Difference method (SPFD method) was
utilized, using the present inventor's original software (an outline of that software
will be described later). Besides calculation using a finite difference, coil inductance
was subjected to approximation calculation using Neumann's formula. In Neumann's formula,
inductance L of a fine track group C is obtained using equations (1), (2) and (3).
It should be noted that in Fig. 3, the cross sectional shape of the conductor bodies
is made a rectangle of width w and height h, and wiring portion lengths of the conductor
bodies are made 1. m
i,j represents partial inductances of each fine track, and s
i, s
j represents respective fine track current vectors. Distance r between associated fine
tracks, which are torsional positions, is simply approximated as distance between
center points of each fine wire portion with this example.

[0060] Also, in addition to simulation using an SPFD method, in order to be doubly sure,
simulation using a finite element method is simultaneously carried out, and a more
accurate inductance obtained from a magnetic field generated in an air region, and
strength of magnetic flux density, are obtained. For the purpose of comparison with
an existing coil, three models were prepared for a figure 8 coil (previously described
patent publications 1 and 2) having a total of 20 turns, an external radius (radius
at the coil circumference) of 100 mm and a conductor gap of 1 mm, a circular coil
having a total of 10 turns and an external radius of 100 mm, and a dome type coil
having a height of 39 mm, and external radius of 66 mm, and a width of 78 mm, and
inductance, strength of magnetic flux density, and electrical field intensity of a
hemisphere model surface layer part (depth of 1 mm from the surface) were obtained.
It should be noted that Photo-Series (Photon Co. Ltd.) was used in the finite element
method simulation.
(Result 1/Examination: Change In Induced Electrical Field Due To Coil Internal Diameter
Width)
[0061] Results are collected together in table 1 for variation in electrical field intensity,
inductance, and spread of induced electrical field for a case where a coil of 20 turns
was used and the inner diameter width (minimum interval) a of that coil was varied.
Fig. 12 shows electrical field intensity and inductance in a graph.
Table 1
| Variation in coil characteristic with change in inner diameter width |
| (inner diameter width mm, number of turns 20) |
14mm |
18mm |
22mm |
26mm |
30mm |
34mm |
38mm |
| Electric field intensity (V/m) |
310 |
315 |
319 |
322 |
325 |
327 |
329 |
| Inductance (µH) |
18.5 |
19.4 |
20.8 |
21.8 |
22.9 |
24.0 |
25.1 |
| Induced electrical field spread (cm2) |
34.4 |
35.6 |
36.8 |
37.8 |
38.6 |
39.3 |
40.0 |
[0062] According to the obtained results, it is found that while the wider the width a of
the coil sides becomes, the greater inductance rises, there is not much variation
in intensity and spread of the induced electrical field that can be generated in a
head model (object). If there is almost no variation in the induced electrical field,
lower inductance is preferable, and so it can be concluded that inner diameter width
a of the Double-D coil should be made as narrow as possible to a limit where the surface
of the head and the coil (specifically, the lower surface of the support of the coil)
interfere with one another. Also, a value such as inductance=18.5 µH in the case where
number of turns N=20 and width a=14 mm is a large value for connecting to a commercially
available drive circuit, and it is preferable to further lower inductance from this
value by reducing the number of turns.
(Result 2/Examination: Change In Induced Electrical Field Due To Number Of Turns Of
Head Contacting Surface)
[0063] Results for variation in electrical field intensity, inductance and induced electrical
field spread for a number of coil turns N (variable) with inner diameter width a=14
mm are collected together in table 2. Fig. 13 shows electrical field intensity and
inductance in a graph.
Table 2
| Change In Coil Characteristics With Change In Number Of Turns |
| (Inner Diameter 14mm, Number Of Turns) |
N14 |
N16 |
N18 |
N20 |
| Electrical Field Intensity (V/m) |
210 |
243 |
276 |
310 |
| Inductance (µH) |
9.0 |
11.7 |
14.9 |
18.5 |
| Induced Electrical Field Spread (cm2) |
33.4 |
33.8 |
34.1 |
34.4 |
[0064] From the obtained results it will be understood that there is almost no variation
in induced electrical field spread in accordance with number of turns. It will also
be understood that while it is possible to lower inductance by lowering the number
of turns of the coil, intensity of the induced electrical field will also be lowered
significantly. It is desirable to have an inductance of about 10µH or lower for connection
to a commercially available drive circuit, and taking this into account 14 is appropriate
for the total number of turns of a coil.
[0065] Here, with an actual coil it has been considered to widen conductor interval in
order to simplify production. If this is done then interlinkage flux of the coil is
increased, and it is possible to increase the inductance. Overall inductance is also
increased by the cable 20 that connects the drive circuit and the coil. Accordingly,
as a design value with the coil 31 it can be considered beneficial to allow a further
margin compared to 10 µH. With this example, descriptions regarding comparison with
an existing coil and specific manufacture will be given by adopting a width a=14 mm
and number of turns N=14, leaving a margin for the inductance value.
(Result 3/Evaluation-Comparison With Existing Coil)
[0066] As a simulation result using the finite element method, spread of an electric field
with a hemisphere model (model where an object is made a hemisphere shape), in a case
where a figure 8 coil and a Double-D coil are used, is shown in Fig. 14. With this
drawing, normalized electrical field intensity is shown with a maximum value as 100%.
Also, comparison with each coil, for electrical field intensity of a point at a depth
of 1 mm on the hemisphere model, is shown in Fig. 15. Also, a relationship between
distance from a surface of the coil center and strength of the magnetic flux density,
when energization of 5.3kA has been assumed as maximum output of a drive circuit,
plotted for each coil, is shown in Fig. 16. Values and spread of an electrical field
intensity that has been obtained using an SPFD method, and values of inductance that
have been obtained using a finite element method, are shown in table 3.
Table 3
| Comparison With Existing Coils |
| |
Figure 8 Coil |
Dome Coil |
Double-D Coil |
| Electrical Field Intensity (V/m) |
202 |
103 |
209 |
| Inductance (µH) |
9.7 |
12.9 |
8.2 |
| Total Winding Length (m) |
3.9 |
5.8 |
3.7 |
| Induced Electrical Field Spread (cm) |
6.0x3.3 |
9.7x5.3 |
8.8x4.7 |
[0067] In table 3 and Fig. 15, an average value for electrical field intensity in a calculation
region is 202 V/m in the case of a figure 8 coil, but 209 V/m in the case of a Double-D
coil, while a maximum value for induced electrical field at a point at a depth of
1 mm is 215 V/m for the figure 8 coil and 237 V/m for the Double-D coil. In this way,
final design of the Double-D coil can achieve the same or better induced electrical
field intensity compared to that of the existing figure 8 coil. In addition, as shown
in Fig. 14, according to the coil of this example spread of the induced electrical
field is large, and accordingly there is the advantage that the coil is resistant
to mislocation. Inductance value is also kept to within 10 µH, which is preferable
for connection to a generic drive circuit.
[0068] Also, in Fig. 16, magnetic field strength at a position 5 mm from the coil surface
is 0.81 T for the figure 8 coil, but 0.63 T for the Double-D coil, and so magnetic
flux density of the figure 8 coil is higher. However, while on the one hand magnetic
field strength has the same value of 0.48 T for both coils at a distance of 16 mm
from the surface, further, at a distance of 20 mm from the surface the magnetic flux
density is 0.40 T for the figure 8 coil but 0.42 T for the Double-D coil, and so the
level relationship for strength has switched.
[0069] What this specifically means is that generation efficiency of an induced electrical
field at a position that is 16 mm or more from the coil surface is better for the
Double-D coil than for the figure 8 coil. Since a stimulation point for a cerebral
gray matter surface, over the scalp and the skull, and cerebral spinal fluid, is positioned
at 15 mm or more from the coil surface, because of this characteristic the Double-D
coil can be said to have an effective characteristic with respect to stimulation in
the vicinity of a gray matter surface.
[0070] There are also the following two incidental advantages.
[0071] First, induced electrical field at the coil surface is preferably low. There are
temporal muscles and thigh membranes in the vicinity of the scalp directly above the
primary motor cortex, with these muscles moving with magnetic stimulation, and depending
on the test subject there may be a problem of accompanying unpleasantness. Also, medical
treatment is basically painless, but depending on the test subject there may be cases
where sensory receptors of the skin are stimulated, and subject will complain of slight
itching or the like. By making induced electrical field close to the coil surface
small, there is the possibility of reducing these minor side effects.
[0072] As shown on the characteristic curve of the coil of this practical example that was
plotted as the "Double-D" coil of Fig. 16 under the simulation conditions of this
practical example that were shown previously, the coil of this practical example is
constructed such that change rate of magnetic flux density at a stimulation point
with respect to change in distance (mm) from the coil surface to the stimulation point
becomes a change rate in the vicinity of 0.014 [T/mm] or a change rate that is read
from Fig. 16, or less than these values, which means that it becomes possible to reduce
unpleasantness caused by stimulation close to the scalp as well, at the time of treatment
where an irradiation target within the brain is subjected to magnetic stimulation.
[0073] Conversely since the same change rate becomes close to 0.027 [T/mm] with the Figure-8
coil that was plotted as the Figure-8 coil in Fig. 16, the same effect as with a coil
of this practical example cannot be expected with the Figure 8 coil. Specifically,
in a case where magnetic stimulation has been carried out to generate magnetic flux
density of the same strength at a stimulation point within the brain, as is clear
from Fig. 16, magnetic flux density close to the scalp, which is a position where
distance from the coil surface is short, becomes a smaller value with the coil of
this practical example than with a figure 8 coil, which means that even if unpleasantness
arises that is attributable to performing stimulation close to the scalp, such unpleasantness
is less than with the figure 8 coil.
[0074] It should be noted that a dome type coil that has been plotted as "Dome Coil" in
Fig. 16 has a smaller rate of change than the coil of this practical example, but
the magnitude of magnetic flux density generated under the design conditions of the
dome type coil used in this comparative example is smaller than that of the coil of
this practical example, and so in the case where it is used in medical practice stimulation
intensity becomes small, and in order to ensure required stimulation intensity it
is necessary to increase electrical current, namely, supplied power.
[0075] That is, the coil of this practical example is a coil for magnetic stimulation treatment
that has been constructed such that a rate of change of magnetic flux density at a
stimulation point with respect to distance (mm) from a coil surface to the stimulation
point, when pulse current is applied at a maximum current of 5.3 kA and a pulse frequency
of 3.4 kHz, becomes a change rate close to 0.014 [T/mm] or a rate of change read from
Fig. 16, or less than these numerical values, and such that magnitude of magnetic
flux density of the stimulation point becomes greater than or equal to 0.2 T.
[0076] Also, as a second point, induced electrical field of a portion that is deeper than
a gray matter surface is preferably high (that is, being able to stimulate to a deep
position is desirable). Gray matter is distributed within 5 mm from the surface of
the brain, sulcus depth is also about 10mm, and nerve groups of pyramidal cells of
the motor area cortex that is stimulated for treatment are thought to be distributed
from the outer surface of the brain to a depth of about 15 mm. There is an example,
as treatment of depression, where a new shaped coil is being developed in order to
stimulate the prefrontal area widely and deeply, and taking this into an account a
higher treatment efficiency is thought to be highly possible by stimulating to a deep
position.
(Modified Example ... Localization Technique For Stimulation Convergence That Combines
Different Direction Laminated Cores)
[0077] The Double-D coil that has been described in this embodiment has sufficiently practical
characteristics with respect to all of induced electrical field spread, electrical
field intensity and inductance, but on the other hand since an induced electrical
field is somewhat strongly generated using the connection parts 311b (namely the lateral
conductors), as shown in Fig. 14, there is a possibility of an induced electrical
field being unintentionally generated slightly in the brain region when actually carrying
out magnetic stimulation. In order to resolve this, a magnetic stimulation device
that uses a core member 33 (refer to Fig. 17) will be described as a modified example.
It should be noted that in the description of this modified example, elements that
are basically common to the previously described embodiment use the same reference
numerals, for the purpose of simplifying description. Also, in this modified example,
so-called different direction laminated cores (sometimes simply referred to as laminated
cores, or cores) are used as the core member 33. Detailed structure of the core member
33 will be described later.
(Effect Of Laminated Core On Magnetic Stimulation Spot)
[0078] First, the effects that the laminated cores have with regards to the transcranial
magnetic stimulation coil will be described. There have been several studies in the
past into improving electromagnetic stimulation efficiency by combining a ferromagnetic
body with a TMS coil, from Han et al, to arrange a laminated core at the top of a
circular coil (
B. H. Han, S. Y. Lee, J.H. Kim, J.H. Yi, "Some technical aspects of magnetic stimulation
coil design with the ferromagnetic effect," Medical & Biological Engineering & Computing,
vol. 41(5), pp. 516-518, 2003) . This has been expanded upon by Miyawaki et al, who reported being able to significantly
improve electromagnetic stimulation effectiveness by combining laminated core plates
in different directions with an eccentric figure 8 coil having improved locality (
K. Yamamoto, Y. Miyawaki, Y. Saitoh, and M. Sekino, "Improvement in Efficiency of
Transcranial Magnetic Stimulator Coil by Combination of Iron Core Plates Laminated
in Different Directions," IEEE Transactions on Magnetics, vol. 52, 2016) . This fundamental principle has the advantages that steel plates that have been
laminated in a direction perpendicular to the conductors are successful in terms of
the effectiveness of improving induced electrical field directly below the conductors,
while conversely steel plates that have been laminated in a direction parallel to
the conductors are successful in terms of the effectiveness of attenuating induced
electrical field directly below the conductors by generating large loss current within
the steel plates. Miyawaki et al increase induced electrical field at a center portion
where it is desired to intensify stimulation by preparing steel sheets that have been
laminated in a vertical direction for the outer side of an eccentric figure 8 coil
and laminated in a horizontal direct at the inner side, and by making induced electrical
field small at an outer edge portion where stimulation is not required, the effect
is achieved of being able to optimally improve stimulation intensity.
[0079] With this modified example, learning from this result, the objective is to attenuate
induced electrical field of the Double-D coil of this embodiment at points where stimulation
is not necessary, and increase induced electrical field at a central portion, and
verification is carried out for a model that combines a Double-D coil and laminated
steel plates as the core member 33.
(Simulation Conditions)
[0080] Since it is necessary to simulate the effect of the steel plates, all calculation
was carried out using finite element methods. The number of turns of the Double-D
coil was made 14. The core member 33 was shaped so as to cover the entire coil, following
the shape of the Double-D coil, as shown in Fig. 17. It should be noted that Fig.
17 shows appearance with only the core member 33 in cross-section. The conductor body
hemisphere had a radius of 75mm while the air region had a radius of 150 mm. Here,
in order to accurately calculate and simulate magnetic flux that is generated peripherally
by the coil, an air region having sufficient width was set. Conductivity of steel
was made 10
7 in a non-lamination direction, and made 10
-7 in the lamination direction. Relative permeability was set nonlinearly, as shown
in Fig. 18, on the assumption that there is saturation at a maximum magnetic flux
density of about 2 T, assuming silicon steel sheets. Steel thickness was made 5 mm.
Using the conductor skin effect, from equation (4) below, if σ=10
7 S/m and f=3.15 kHz are set, penetration of magnetic flux is considered to be only
to a depth of 40 µm, and this thickness of 5 mm is sufficiently large for this depth.
The lamination directions are set so that portions 44 mm from the center of the core
member 33 have steel plates (... corresponding to first core bodies 331a) in an alignment
direction (lateral direction) perpendicular to conductors (actuation parts 311a),
and outside this portion steel plates (... corresponding to second core bodies 332a)
are in an alignment direction that is parallel to the conductors (vertical direction)
. Current that flows in the coil is set to 5.3 kA, at a frequency of 3.15 kHz. Portions
331b between the first core bodies 331a and portions 332b between the second core
bodies 332a are composed of a material having a low relative permeability.

(Results and Observations)
[0081] Appearance of the obtained induced electrical field is shown in Fig. 19. Also, intensity
of the induced electrical field at the depth of 1 mm from the hemisphere surface is
shown in Fig. 20. The first peak (portion corresponding to directly below the side
conductors (connection parts 311b) of the Double-D coil) of induced electrical field
intensity in Fig. 20 was 86.6 V/m in the case where horizontal direction steel plates
in different directions were not arranged, but 60.2 V/m in a case where steel plates
were arranged. Also, maximum intensity of the induced electrical field generated at
the center, as a second peak, was 238.7 V/m in the case where steel plates were not
arranged, and 292.0 V/m in the case where steel plates were arranged. Inductance value
was 1904 µH if the core members (laminated steel) were arranged, compared with 7.4
µH when there were no core members.
[0082] As a result of this, for a Double-D coil also it is possible to cleverly suppress
induced electrical field at points where stimulation is not necessary by using laminated
steel plates in different directions, and it is possible to significantly improve
electrical field intensity at the stimulation center point. However, since inductance
value is extremely large, it is not considered possible to connect to a normal drive
circuit. In order to avoid this situation it is considered necessary to make the steel
plates smaller and thinner with the intention of lowering the inductance value. Otherwise,
it will be necessary to assume use of a practical drive circuit that can arbitrarily
change wavelength regardless of value of inductance, as proposed by Peterchev et al
(
A. V. Peterchev, R. Jalinous, and S. H. Lisanby, "A Transcranial Magnetic Stimulator
Inducing Near-Rectangular Pulses With Controllable Pulse Width (cTMS)," IEEE Transactions
on Biomedical Engineering, vol. 55, 2008, pp.257-266).
[0083] The device of the modified example can be realized as follows.
(A1)
[0084] A coil in which the core member 33 is constructed to reduce magnetic resistance of
a magnetic circuit generated by the 1st to Nth turns, and the core member is arranged
at a position opposite to an object 1 over actuation parts 311a.
(A2)
[0085] A coil as described in item A1, in which the core member 33 is characterized by having
a plurality of regions (331a, 331b, 332a, 332b) of differing relative permeability.
(A3)
[0086] A coil as described in item A1 or A2, in which the core member 33 is provided with
a first portion 331 arranged at a position that faces the actuation parts 311a, and
a second portion 332 that is arranged at a position that faces the connection parts
311b, the first portion 331 being provided with a plurality of elongated first core
bodies 331a that extend in a direction non-parallel (or orthogonal) to the actuation
parts 311a, and the second portion 332 being provided with a plurality of elongated
second core bodies 332a that extend in a direction that is substantially parallel
to the extension direction of the actuation parts 311a.
(Practical Example 2 ... Characteristic Evaluation By Measurement)
[0087] With practical example 2, for a Double-D coil of 14 turns and inner diameter width
of 14 mm that was explained as an embodiment, actual manufacture was carried out,
and results of having carried out energization and measurement experiments are shown.
With this practical example 2, as conductors for constituting the coil 31 two ply
tin-coated copper wire mesh having a thickness of 0.8 mm and a height of 4 mm was
used, and this was fitted into grooves on the surface of the support 32. Effective
cross-section of the conductors became 3.4 mm
2. By using this type of two-ply copper wire mesh it can be wound easily, and it is
possible to lower a centroid of a current path.
[0088] Results are shown in table 4 below.
Table 4
| Inductance measurement values (µH) at 1kHz |
| Coil Type |
Double-D Coil |
Figure 8 Coil |
Circular Coil (C100) |
| Inductance |
10.3 |
12.1 |
9.6 |
[0089] Inductance of the coil of this embodiment was 10.3 µH. A commercially available circular
coil (circular coil C100 by the MagPro company) was 9.6 µH, while a figure 8 coil
was 12.1 µH. As a result of this, the coil of this embodiment has an inductance characteristic
substantially the same as that of an existing coil, and it will be understood that
it is applicable to an existing power supply.
(Static Magnetic Field Measurement When Energizing Direct-Current)
[0090] A maximum value of magnetic flux density that has been generated by a drive circuit
can be approximated to a value of magnetic flux density at a static magnetic field
that has been generated by direct-current. This means that it is possible to predict
magnetic flux density at the time of drive by measuring a static magnetic field when
a direct current has been applied to the coil. Here, as a preliminary experiment before
energization using the drive circuit, direct current was made to flow in the coil
of this embodiment and a figure 8 coil which was for the purpose of comparison, and
the static magnetic field that is generated was measured.
(Experimental Conditions)
[0091] Based on the fact that the coil itself has parasitic resistance, measurement was
carried out with the coil directly connected to a constant current source. A power
supply used was PAR18-6A by the TEXIO company. GM07 by the HIRST magnetic Instruments
company was used as a Gauss meter for static magnetic field measurement.
(Results and Observations)
[0092] Results are shown in Fig. 21. Magnetic flux density generated by a fixed current
of 5 A was a higher value with the figure 8 coil in a region from 0 mm to 20 mm from
the coil surface. On the other hand at points further than 20 mm away from the coil
surface the Double-D coil generated a stronger magnetic field than the figure 8 coil.
It should be noted that a value of magnetic flux density at a point 20 mm from the
coil surface was 0.33 mT with the figure 8 coil and 0.32 mT with the Double-D coil.
[0093] Based on these results, if it can be considered that a distance from the surface
of the scalp to the gray matter surface is on average about 20 mm, and it will be
understood that stimulation intensity on gray matter nerves groups using the Double-D
coil is about the same as that for the figure 8 coil. This more or less coincides
with the simulation results of Fig. 16. However, considering the fact that in the
simulation the magnetic flux density using the Double-D coil becomes higher than with
the figure 8 coil at the point beyond 16 mm of the distance, there are some errors.
This is thought to be due to slight differences between simulation models and real
machines.
(Measurement Of Applied Current And Varying Magnetic Field Using Real Drive Circuit)
[0094] A manufactured Double-D coil was connected to a commercially available drive circuit,
and energization tests and varying magnetic field measurements were carried out.
(Experimental Conditions)
[0095] A MagProCompact by the MagVenture company was used in the drive circuit. A current
monitor 4418 by the PEARSON Electronics was used as a current meter, an oscilloscope
was connected, and a current waveform was stored. A search coil of outer diameter
7.6 mm and 6 turns (effective surface area 272 mm
2) is formed, positioned above a coil and connected to an oscilloscope, and then a
magnetic filed thereof is measured by recording its waveform of instantaneous magnetic
flux density. Position of the search coil is at the center of the figure 8 coil or
Double-D coil, and measurement points were obtained every 5 mm up to a distance of
30mm, with 0 mm as an attachment part. In addition to this, an integrated value of
up to a 1/4 period of the obtained instantaneous magnetic field was obtained as a
maximum value of magnetic flux density, and after that the drive current value was
normalized to a maximum value of 1 kA and comparison was carried out.
(Result 1 And Considerations-Current Waveform At The Time Of Energization)
[0096] At the time of measurement, current amplitude of the figure 8 coil was 1.9 kA while
current amplitude of the Double-D coil was 1.4 kA. Current waveforms for the figure
8 coil and the Double-D coil that have had current amplitude normalized to 1 kA are
shown in Fig. 22. Current wavelength using the figure 8 coil was 295 µs, while wavelength
using the Double-D coil was 283 µs. Also, regarding attenuation due to parasitic resistance
of the coils, making an absolute value of a first peak of the respective amplitudes
1, a second peak value is 0.875 with the figure 8 coil and 0.806 with the Double-D
coil.
[0097] Regarding wave length, the Double-D coil can generate triphasic pulses of the same
waveform as the figure 8 coil, and as a result of measurement taking into account
inductance value, a wavelength of shorter than 300 µs was obtained. As a result of
this, from the viewpoint of wavelength, stimulation of cranial nerve is certainly
possible.
[0098] It is also possible to obtain a value of parasitic resistance R from attenuation
of a current waveform. If a first peak value is made I
1 and a second peak value is made I
2, resistance R of an RLC series circuit is represented as shown below.

[0099] Here, T is current wavelength, and is represented by T=2π×√(LC).
[0100] Also,
L: circuit inductance, and
C: circuit capacitance.
[0101] If the inductions that has been measured here and the wavelength that has been acquired
are substituted, then the resistance of the figure 8 coil becomes 17.0 mΩ, and the
resistance of the Double-D coil becomes 21.0 mΩ. The reason for this is that with
the Double-D coil, while length of the winding is equal to that of the figure 8 coil,
a mesh conductor having a small cross sectional area is used as the winding. Due to
the fact that the parasitic resistance value is high there is a concern that coil
heating at the time high-frequency continuous energization will take place rapidly,
and improvement that would tend to increase cross-sectional area of the winding is
considered preferable. Since with a Double-D coil the size can be made comparatively
smaller for applying current for imparting the same induced electrical field intensity
to gray matter as described previously, it can be predicted that effective heating
rate will be of about the same extent. It is also considered that a Double-D coil
would exhibit sufficient performance for at least single nerve stimulation due to
the fact that a waveform is close to that of an existing coil with attenuation not
being so large.
(Result 2 And Considerations-Wave Form Of Instantaneous Magnetic Flux Density At The
Time Of Energization, And Maximum Magnetic Flux Density Value)
[0102] Waveforms for instantaneous magnetic field (dB/dt) at a position 15 mm from the surface
of the figure 8 coil and the Double-D coil, that have been normalizedbased on an energization
of 1kA, are shown in Fig. 23. As shown in the drawing, an instantaneous magnetic flux
density of the same intensity as that of the figure 8 coil was acquired. As a result
of this, from the viewpoint of magnetic field strength, stimulation of cranial nerves
is certainly possible. Also, with respect to distance from the coil surface, values
of magnetic flux density obtained from strength of the instantaneous magnetic field
that have been subjected to constant multiplication, so as to be equivalent to the
case for 5 kA, are shown in Fig. 24. This result is a result that substantially coincides
with the simulation of Fig. 16, and shows that it is possible to obtain induced electrical
field of the same intensity as a figure 8 coil with a Double-D coil. An extremely
close result has also been obtained in measurement with a static magnetic field. Strictly
speaking, similarly to the case of static magnetic field measurement, a position from
the surface at which magnetic flux density of the Double-D coil becomes stronger than
for the figure 8 coil was 17 mm with simulation but 20 mm with actual measurements,
meaning there was slight discrepancy. This is due to differences in dimensions etc.
of a simulation model and actually manufactured devices, and can be assessed as not
a fundamental issue.
(Supplementary Matters)
[0103] In the following, the original simulation software that has been used for validation
of the previously described embodiments will be described. With this software, coil
shapes have been input as collections of current vectors, making it possible to obtain
induced current that will be generated in an electrical conductor. By incorporating
brain MRI image data into the simulation it is also possible to carry out simulations
for models where configurations are complex, such as when a plurality of type of conductors
are included.
[0105] Also, using current continuous equations and Ohm's law, the following equations are
established for induced current density J, and electric field E and conductivity o.

[0106] The following equation is established from the two equations above.

[0107] Here a minute hexahedron is assumed, with Sn being conductance of each straight line,
ln being length of each straight line, ϕn being a scalar potential of a node n, and
A
0n being a magnetic vector potential of a direction component that joins a node 0 and
a node n. If the above equations are discretized, the following equations are established
for these values.

[0108] By solving this equation for all voxels, it is possible to obtain an induced electrical
field.
[0109] As has been described above, according to the coil of this embodiment, and an magnetic
stimulation device that uses this coil, there is an advantage in that is possible
to provide a coil that can give the same wide induced electrical field as a dome type
coil, and that can generate a strong induced electrical field with the same applied
current as for a dome type coil, and that can further keep inductance to a small value.
(Second Embodiment)
[0110] Next, a magnetic stimulation device of a second embodiment of the present invention
will be described with reference to Fig. 25 to Fig. 27. It should be noted that elements
that are basically common to the magnetic stimulation device of previous embodiments
that have already been described will be assigned the same reference numerals, to
avoid duplicated description.
[0111] With the magnetic stimulation device of this embodiment, a contact section 321 constituting
a support 32 of the application part 30 is configured so as to be substantially flat
and circular. A flange section 322 is formed extending from a peripheral edge of the
contact section 321 so as to be inclined towards the head 1 (refer to Fig. 26 and
Fig. 27).
[0112] In a case where a bottom surface of the contact section 321 was made the spherical
surface, as shown in Fig. 6, then in the event that curvature of the head 1 was smaller
than the curvature of the bottom surface of the contact section 321 (that is, in the
event that a contact surface for the head 1 approaches a planar surface), a phenomenon
known as "partial contact" may sometimes arise. This is a state where although one
side of a lower peripheral edge of the support 32 is contacting the head 1, the other
side is separated from the head 1. In this state it is not possibly to set a positional
relationship between the coil 31 and the head 1 according to expectations, and there
is a possibility that it will not be possible to demonstrate the intended effect.
[0113] With this second embodiment, therefore, this problem is dealt with by making a bottom
surface shape of the contact section 321 (that is, the shape of the bottom surface
of the support 32) close to a planar surface (namely flattening). With this embodiment,
when fitting the application part 30 to the head 1, the bottom surface of the contact
section 321 is brought into contact with the surface of the head 1. In this way, it
is possible to closely contact and position the vicinity of the center of the contact
section 321 on the head 1. As a result, with this embodiment there is the advantage
that it is possible to set a positional relationship between the coil 31 and the head
1 as intended, and it is possible to carry out desired magnetic stimulation. Here,
with this second embodiment, the upper surface shape of the contact section 321 on
which the actuation parts 311a are arranged is also flattened. In this way, the actuation
parts 311a of this embodiment are in a state of being arranged in a direction substantially
along a tangential surface of the object 1, at contact points of the contact section
321 with the object (head) 1. In the event that a surface of the object 1 is a substantially
spherical surface shape, the contact section 321 and the object 1 contact at a single
point (including a case where this is a surface of a minute region), and at least
in the vicinity of this contact point, this tangential surface has a surface that
approximates to the surface shape of the object 1.
[0114] A modified example of the device of this second embodiment is shown in Fig. 28. With
the above described second embodiment, an angle formed by the contact section 321
and the flange section 322 is constantly made angle θ1 (refer to Fig. 26) over the
entire periphery of the contact section 321. The angle θ1 in Fig. 26 is an angle formed
by the contact section 321 and the flange section 322 in the direction X-X' in Fig.
25. By contrast, with this modified example, if an angle formed by the contact section
321 and the flange section 322 in the direction Y-Y' is made θ2, then θ1>θ2. Specifically,
with this modified example, an angle formed by the contact section 321 and the flange
section 322 differs depending on the location. In this way, with this modified example,
there is the advantage that when fitting the support 32 to the head 1, it is possible
to reduce the possibility of interference between the flange section 322 and the head
1.
[0115] Other structures and advantages of this second embodiment are the same as those of
the previously described embodiment, and so more detailed description has been omitted.
(Third Embodiment)
[0116] Next, a magnetic stimulation device of a third embodiment of the present invention
will be described with reference to Fig. 29 to Fig. 30. It should be noted that elements
that are basically common to the magnetic stimulation device of the second embodiment
that has already been described will be assigned the same reference numerals, to avoid
duplicated description.
[0117] With the magnetic stimulation device of this embodiment, a contact section 321 constituting
a support 32 of the application part 30 is configured so as to be substantially flat
and elliptical.
[0118] A modified example of the device of this third embodiment is shown in Fig. 32. With
the above described third embodiment, an angle formed by the contact section 321 and
the flange section 322 is generally made angle θ1 (refer to Fig. 30). Conversely,
with this modified example, this angle differs with position such that θ1>θ2.
[0119] Other structures and advantages of this third embodiment are the same as those of
the previously described second embodiment, and so more detailed description has been
omitted.
(Fourth Embodiment)
[0120] Next, a magnetic stimulation device of a fourth embodiment of the present invention
will be described with reference to Fig. 33 to Fig. 35. It should be noted that elements
that are basically common to the magnetic stimulation device of the second embodiment
that has already been described will be assigned the same reference numerals, to avoid
duplicated description.
[0121] With the magnetic stimulation device of this embodiment, the flange section 322 is
constructed extending from a peripheral edge of the contact section 321 in a direction
that is the same as the extension direction of the contact section 321. In this way,
with this embodiment, the whole of the support 32 is formed in a single disk shape.
[0122] Other structures and advantages of this fourth embodiment are the same as those of
the previously described second embodiment, and so more detailed description has been
omitted.
(Practical Example 3)
[0123] Simulation was carried out assuming the structure of the coil 31 of the previously
described fourth embodiment. Simulation conditions were basically the same as those
of the previously described practical example 1. However, with this practical example
3, in the following points,
object: hemispherical conductor of 100 mm radius
air region: radius 200 mm
conductivity of conduct constituting the coil: 0.106 S/m, simulation conditions differed
from those of previously described practical example 1.
[0124] Results are shown in table 5 below. In this table, the coil of practical example
3 is made "F-D coil". Also, for the purpose of comparison, results for the coil of
practical example 1 are shown as "D-D coil" and results for the figure 8 coil constructed
in the same way as the figure 8 coil of previously described table 3 are shown as
"figure 8 coil". Further, electric field spreads for these coils, with the hemisphere
model, are shown in Fig. 36 to Fig. 38.
Table 5
| |
Figure 8 coil |
D-D coil |
F-D coil |
| Maximum Induced Electrical Field [V/m] |
230 |
277 |
181 |
| Inductance [µH] |
9.7 |
10.6 |
9.2 |
| Electrical Field Spread [cm] |
7.5x4.2 |
11.3x5.9 |
10.3x5.3 |
[0125] It should be noted that in this table 5, "electric field spread" means length of
the center of an area in which 1/2 or more of a maximum electrical field intensity
is induced. Further, for these coils, induced electrical wave distribution of a surface
of the brain is shown in Fig. 39, and distribution of magnetic flux density in a depth
direction is shown in Fig. 40.
[0126] From these results it will be understood that the F-D coil of practical example 3
has substantially the same electric field spread as the D-D coil of practical example
1. Further, it will be understood that at a depth position deeper than about 20 mm
from the surface of the head (namely a contact point between the contact section 321
and the object 1), the F-D coil of practical example 3 has substantially the same
magnetic flux density as the conventional figure 8 coil. Accordingly, according to
the F-D coil of practical example 3, there is the advantage that it has the same robust
characteristic as the coil of practical example 1, and it is possible to carry out
magnetic stimulation to the same extent as with a conventional figure 8 coil.
[0127] It should be noted that the content of the present invention is not limited by each
of the previously described embodiments. The present invention may additionally be
subject to various changes to specific components, within a range disclosed in the
scope of the patent claims.
[0128] For example, in each of the previously described embodiments, the head of a person
has been described as an object, but the object can be made any appropriate living
body (including an animal). It should be noted that in this specification the term
animal is used with the meaning that includes human beings. Description of the numerals
[0129]
1 object (head of a target person)
10 power supply section
20 cable
30 application part
31 coil
311 to 31N turn
311a actuation parts (actuation conductor sections)
311b connection parts (connection conductor sections)
32 support
321 contact section
321a groove on contract section
322 flange section
322a groove on flange section
33 core member
331 first portion
331a first core body
331b low magnetic permeability portion
332 second portion
332a second core body
332b low magnetic permeability portion
a interval between actuation part and connection part